polyhydramnios and gestational hypertension?

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polyhydramnios and gestational hypertension?

Postby expert@preeclampsia.org » Mon Jun 08, 2009 05:46 pm

I just got hit with a new one (to me) that I can't seem to verify. I was told today that increased amniotic fluid levels can be associated with PIH (that is how it was presented). I have searched the forums as well as google searched and I can not find anything that links the two.

I'm a bit at a loss as I have seen some comments the other way - i.e. as PE gets bad and placenta seems to decrease in effectiveness the fluid levels seem to go down (at least that is what has happened to us and I have heard reports of the same - I don't know of any studies so I wouldn't report this as authoratitive information).

I'm curious what info you may be able to share on this.
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Re : polyhydramnios and gestational hypertension?

Postby expert@preeclampsia.org » Mon Jun 08, 2009 05:48 pm

Polyhydramnious can be associated with a diabetic state, in a sense like the hyperglycemic individual pees a lot the fetus does too (the source of the polyhydraminious). While some texts note increased preeclampsia with polyhydramnious, the association dissapears when the diabetes and multiple pregnancies are considered when searching for confounding variables. Very very rarely polyhydramnious causes partial urinary tract infection associated at times with hypertension, and easily misdiagnosed as preeclampsia or gestational hypertension.

Hope this helps.
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